Personal Rsum Information A Record for Job Seekers Georgia Department of Labor Mark Butler, Commissioner Equal Opportunity Employer/Program Auxiliary Aids & Services Are Available Upon Request To Individuals With Disabilities HELPFUL HINTS FOR COMPLETING A JOB APPLICATION 1. Have information readily available. Don't erase, scratch out or leave blank. Use this book to avoid spelling errors. 2. Answer as fully as possible. 3. Leave no blank spaces. For questions that do not apply to you, draw a line or write N/A. 4. Use only positive information. If the response is negative or requires explanation, write "will discuss in interview". Avoid negative words such as "quit" or "fired". 5. If your work history is long and varied, attach a rsum. 6. Be prepared to use ink or complete a computer based application. 7. Be completely honest. Misrepresenting yourself on a job application may result in being fired at a later date. PERSONAL DATA Full Name: _______________________________ Address: _________________________________ City: _____________ State: ______ Zip: ________ Telephone: (_______) _______________________ Message: (_______) ________________________ E-Mail: ___________________________________ Social Security: ____________________________ Length of Time at Present Address: ____________ Days/Hours Available: _______________________ Job Objective: _____________________________ _________________________________________ _________________________________________ Salary Range: _____________________________ _________________________________________ Professional/Civic Organizations: ______________ _________________________________________ _________________________________________ Work Limitations: ___________________________ _________________________________________ _________________________________________ WORK HISTORY JOB 1. (most recent) Employer: ________________________________ Address: _________________________________ Telephone: (_______) _______________________ E-Mail: ___________________________________ Job Title: _________________________________ Dates: _______________ to _________________ MO/YR MO/YR Salary: _______________ _________________ Beginning Ending Supervisor: _______________________________ Reason for Leaving: ________________________ Job Duties: ________________________________ _________________________________________ _________________________________________ _________________________________________ Machines/Tools: ____________________________ ________________________________________ Factors Liked Factors Disliked ___________________ ____________________ ___________________ ____________________ ___________________ ____________________ WORK HISTORY JOB 2. Employer: ________________________________ Address: _________________________________ Telephone: (_______) _______________________ E-Mail: ___________________________________ Job Title: _________________________________ MO/YR Dates: _______________ to _________________ Beginning Salary: _______________ _________________ Supervisor: _______________________________ Reason for Leaving: ________________________ Job Duties: _______________________________ _________________________________________ _________________________________________ __________________________________________ Machines/Tools: ___________________________ _________________________________________ Factors Liked Factors Disliked ___________________ ____________________ ___________________ ____________________ ___________________ ____________________ WORK HISTORY JOB 3. Employer: ________________________________ Address: _________________________________ Telephone: (_______) _______________________ E-Mail: ___________________________________ Job Title: _________________________________ MO/YR MO/YR Dates: _______________ to _________________ Beginning Ending Salary: _______________ _________________ Supervisor: _______________________________ Reason for Leaving: ________________________ Job Duties: ________________________________ _________________________________________ _________________________________________ _________________________________________ Machines/Tools: ___________________________ _________________________________________ Factors Liked Factors Disliked ___________________ ____________________ ___________________ ____________________ ___________________ ____________________ WORK HISTORY JOB 4. Employer: ________________________________ Address: _________________________________ Telephone: (_______) _______________________ E-Mail: ___________________________________ Job Title: _________________________________ MO/YR MO/YR Dates: _______________ to _________________ Beginning Ending Salary: _______________ _________________ Supervisor: _______________________________ Reason for Leaving: ________________________ Job Duties: _______________________________ _________________________________________ __________________________________________ Machines/Tools: ___________________________ _________________________________________ Factors Liked Factors Disliked ___________________ ____________________ ___________________ ____________________ ___________________ ____________________ OTHER WORK HISTORY Job Emplo yer Dates Title 1. Reason for Leaving 2. 3. 4. SKILLS Job Content _______________________________ _________________________________________ _________________________________________ Transferable _______________________________ _________________________________________ _________________________________________ Self Management ___________________________ _________________________________________ _________________________________________ MILITARY Branch _____________ Rank ______________ Dates ______________ to ________________ Job Titles __________________ __________________ __________________ Duties __________________ __________________ __________________ Machines/Tools __________________________ VOLUNTEER WORK Organization Duties/Responsibilities EDUCATION AND TRAINING School Name/Address Dates Field of Study Years/Hours Comp. GPA Secondary Degree College College Other Major Minor Major Minor Other GED _________________ Date Received ________________________ Location Professional Licenses/Certificates: ______________________________ ______________________________ _______________ (Valid Through) _______________ (Valid Through) MISCELLANEOUS Explanation of Work Gaps Dates Reason Professional Accomplishments/Awards: _____ _____________________________________ _____________________________________ Questions to Ask at Interview 1. ___________________________________ _____________________________________ 2. ___________________________________ _____________________________________ 3. ___________________________________ _____________________________________ 4. ___________________________________ _____________________________________ REFERENCES 1. Name: ____________________________________ Employment: _______________________________ Job Title: __________________________________ Address: __________________________________ __________________________________________ Telephone/E-Mail: __________________________ How long have you known this person? _________ 2. Name: _____________________________________ Employment: ________________________________ Job Title: ___________________________________ Address: ___________________________________ __________________________________________ Telephone/E-Mail: __________________________ How long have you known this person? _________ 3. Name: ____________________________________ Employment: _______________________________ Job Title: __________________________________ Address: __________________________________ __________________________________________ Telephone/E-Mail: __________________________ How long have you known this person? _________ 4. Name: ____________________________________ Employment: _______________________________ Job Title: __________________________________ Address: __________________________________ __________________________________________ Telephone/E-Mail: __________________________ How long have you known this person? _________ NOTES JOB LEADS Employer Phone Contact Person Results JOB LEADS Employer Phone Contact Person Results DOL-1130 (R-5/11)